Individual
SARAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14 MUSICA RD, BELEN, NM 87002-8129
(505) 934-5545
Mailing address
14 MUSICA RD, BELEN, NM 87002-8129
(505) 934-5545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3068
NM
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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